Publication:

Obstetric outcome of phase IV of National AIDS Control Programme at a tertiary care centre

Background This study was conducted to observe maternal and fetal outcome of sero-positive women delivering at our centre by using the newly introduced National AIDS Control Programme (NACP) phase IV of HARRT (highly active antiretroviral therapy) recommended by National AIDS Control Organisation (GOI) started from 1st January 2014.

Methods Study included all seropositive pregnant women diagnosed during pregnancy and in emergency at labour room of Government Medical College, Aurangabad, Maharashtra, India in 2 years period. The women and their newborns were managed as per recommendations of phase IV of National AIDS Control Programme of Government of India.

Results There was reduction in associated maternal infections, high CD4 counts, increase in vaginal deliveries, promotion of exclusive breast feeding and limitation of vertical transmission of HIV. The adverse impact of HIV on mother and newborn still continues.

Conclusions Phase IV of NACP appears to be promising in the initial phases of its implementation.